BOOKING-/REGISTRATION FORM: ISWA Congress 2015 Hotel Room (*rates are per room per night) □ □ Room Economy Class @ EUR 145,00 (single use) Room Economy Class @ EUR € 175,00 ( twin use ) Lindner Hotel & City Lounge is a 100% no-smoking hotel! √ √ √ √ The room rate is inclusive breakfast. The room rate is exclusive city tax ( € 2.50 per person per night ). Free WIFI will be provided in the entire hotel. Reservations are made individually, by submitting this form via fax or email to the hotel before 15/06/2015. Reservations requested after this date are only taken upon availability of the hotel and rates can be higher. √ All reservations must be guaranteed by credit card and signature. √ Rooms are available from 3PM on the arrival day. We kindly ask to leave the room before 11AM the day of departure. √ Reservations can be cancelled without additional charges if done 48 hours before arrival. Cancellation within 24 hours is charged at 100% of the total amount for the individual guest. Groupbooking: ISWA Congress 2015 Surname: Accompanying spouse/partner: Adress: Phone number: E-mail adress: Arrival date: Departure date: Number of nights: Credit card number: Reference: 8187936 First name: Fax number: Expiring date: The credit card number is given is to guarantee my booking and my account will not be debited until my departure. I agree that in case of late cancellation or no-show, my credit card will be debited according to cancellation terms mentioned above. Signature: Date: Please fax the reservation to: +32 3 227 77 01 or e-mail to: [email protected] Lindner Hotel & City Lounge Lange Kievitstraat 125 B-2018 Antwerpen Fon +32 3 22777-00 Fax +32 3 22777-01 [email protected] www.lindnerhotels.be Bank: ING België Antwerpen De Keyser Quellinstraat 1 2018 Antwerpen 7, België Swift-Code/BIC-Code BBRUBEBB IBAN-Nr. BE53 3630 5679 4853 Rekeningnummer 363-0567948-53 Inschrijving handelsregister: Lindner Hotels Antwerpen N.V. – 0818.535.686
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